KAISER FOUNDATION HEALTH PLAN OF COLORADO (NPI# 1720352941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720352941 |
Entity Type | Organization |
Organization Name | KAISER FOUNDATION HEALTH PLAN OF COLORADO |
Other Organization Name | KAISER PERMANENTE CASTLE ROCK MEDICAL OFFICES LABORATORY |
Practice Address |
4318 Trail Boss Dr Ste 100 Castle Rock CO 80104-7512 |
Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
Practice Telephone | 3033384545 |
Mailing Telephone | 3033384545 |
Enumeration Date | 2012-03-06 |
Last Update Date | 2019-12-16 |
Authorized Official Name | MICHAEL S RAMSEIER (REGIONAL PRESIDENT) |
Authorized Official Telephone | 3033447256 |
Is Organization Subpart | Y |
Parent Organization Name | KAISER FOUNDATION HEALTH PLAN |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 46223762 | 05 |
Other Name | Type Code |
---|---|
Castle Rock Medical Office Laboratory | Doing Business As Name - Organization |
Kaiser Permanente Castle Rock Medical Offices Laboratory | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386163145 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 3537 N Brighton Blvd, Denver, CO 80216 | 2017-09-13 |
1356770440 | Kaiser Foundation Health Plan of Colorado | Family Medicine | 15151 E Alameda Pkwy, Ste #1800, Aurora, CO 80012-1555 | 2013-11-08 |
1770911729 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 10240 Park Meadow Dr, Lone Tree, CO 80124-5425 | 2013-10-29 |
1205940921 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 16601 E Centretech Parkway, Aurora, CO 80111 | 2006-08-19 |
1891809091 | Kaiser Foundation Health Plan of Colorado | Health Maintenance Organization | 2500 S. Havana Street, Aurora, CO 80014-1618 | 2006-08-18 |
1053948471 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 8383 W Alameda Ave, Lakewood, CO 80226-3007 | 2020-03-25 |
1962039388 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2020-03-25 |
1871120295 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2020-03-25 |
1740751049 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2625 W Pueblo Blvd, Pueblo, CO 81004 | 2018-12-12 |
1912487810 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 2625 W Pueblo Blvd, Pueblo, CO 81004 | 2018-08-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | KAISER FOUNDATION HEALTH PLAN OF COLORADO | One Kaiser Plaza, Oakland, CA 94612 |
Street Address |
4318 TRAIL BOSS DR STE 100 |
City | CASTLE ROCK |
State | CO |
Zip Code | 80104-7512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225089980 | Christine B Walden | Internal Medicine | 4318 Trail Boss Dr, Suite 100, Castle Rock, CO 80104-7512 | 2006-05-15 |
1760909477 | Amanda L Love | Registered Nurse | 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2017-08-23 |
1174079594 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2016-08-26 |
1265882914 | Lauren Graham | Dietitian, Registered | 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2016-06-14 |
1083900831 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2011-06-21 |
1992012769 | Kaiser Foundation Health Plan of Co | Clinic/Center | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2010-09-01 |
1104069376 | Stuart M Prins | Family Medicine | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2009-04-16 |
1407033996 | Laura Lee Jarrell | Internal Medicine | 4318 Trail Boss Dr, Suite 100, Castle Rock, CO 80104-7512 | 2008-01-28 |
1811031685 | David C Hahn | Dermatology | 4318 Trail Boss Dr, Suite 100, Castle Rock, CO 80104-7512 | 2007-02-16 |
1699868240 | Stephanie Renee Keene | Physician Assistant | 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104-7512 | 2006-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
Find all providers in zip 80104 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750981718 | Boulder Community Health | Clinical Medical Laboratory | 6685 Gunpark Dr Ste 100, Boulder, CO 80301-3388 | 2020-10-29 |
1225637879 | Boulder Community Health | Clinical Medical Laboratory | 3 Superior Dr Ste 100, Superior, CO 80027-8653 | 2020-10-23 |
1639778921 | Denver Recovery Group LLC | Clinical Medical Laboratory | 56 E Arapahoe Rd, Littleton, CO 80122-8001 | 2020-10-19 |
1750990552 | Centennial State Lab, LLC | Clinical Medical Laboratory | 651 Corporate Cir Ste 104, Golden, CO 80401-5652 | 2020-07-28 |
1750905485 | 303 Diagnostics, LLC | Clinical Medical Laboratory | 1805 S Bellaire St Ste 222, Denver, CO 80222-4313 | 2020-05-28 |
1801419387 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1030 Johnson Rd Ste 200, Golden, CO 80401-6007 | 2020-05-19 |
1639790835 | Bready Diagnostic Laboratory LLC | Clinical Medical Laboratory | 695 S Colorado Blvd Ste 250, Denver, CO 80246-8091 | 2020-04-29 |
1295354371 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 9950 W 80th Ave Ste 23, Arvada, CO 80005-3914 | 2020-04-09 |
1972138345 | University Physicians Incorporated | Clinical Medical Laboratory | 12705 E. Montview Blvd, Bioscience 2, Room 3106, Aurora, CO 80045-7108 | 2020-03-06 |
1164054896 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 13402 W Coal Mine Ave Ste 300, Littleton, CO 80127-5407 | 2020-02-11 |
Find all providers with the same taxonomy |
City | CASTLE ROCK |
Zip Code | 80104 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.